Mirizzi syndrome associated with hepatic artery pseudoaneurysm: A case report

被引:4
|
作者
Anderson O. [1 ]
Faroug R. [1 ]
Davidson B.R. [1 ]
Goode J.A. [1 ]
机构
[1] Royal Free Hospital, University College School of Medicine, University College London, London
关键词
Hepatic Artery; Gall Bladder Cancer; Obstructive Jaundice; Common Bile Duct Stone; Biliary Tract Cancer;
D O I
10.1186/1752-1947-2-351
中图分类号
学科分类号
摘要
Introduction: This is the first case report of Mirizzi syndrome associated with hepatic artery pseudoaneurysm. Case presentation: A 54-year-old man presented with painful obstructive jaundice and weight loss. Computed tomography showed a hilar mass in the liver. Following an episode of haemobilia, angiography demonstrated a pseudoaneurysm of a branch of the right hepatic artery that was embolised. At surgery, a gallstone causing Mirizzi type II syndrome was found to be responsible for the biliary obstruction and a necrotic inflammatory mass and haematoma were found to be extending into the liver. The mass was debrided and drained, the obstructing stones removed and the bile duct drained with a t-tube. The patient made a full recovery. Conclusion: This case highlights another situation where there may be difficulty in differentiating Mirizzi syndrome from biliary tract cancer. © 2008 Anderson et al; licensee BioMed Central Ltd.
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